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CVS PHARNACY # 05616
NPI 1356619415
Pharmacy in Detroit Lakes, MN

Active since December 05, 2011
329 FRAZEE ST E, DETROIT LAKES, MN 56501(218) 847-1484 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cvs Pharnacy # 05616 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARNACY # 05616 (NPI 1356619415) is a healthcare organization registered as a pharmacy in Detroit Lakes, Minnesota and active in the NPI registry since December 2011. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1356619415
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGRAND ST PAUL CVS LLC
Location Address329 FRAZEE ST EDetroit Lakes, MN 56501-3603
Mailing Address1 Cvs Dr, P.o.box 1075-pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(218) 847-1484
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 765-1500
Enumeration DateDecember 5, 2011
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1356619415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
329 FRAZEE ST E, Detroit Lakes, MN 56501
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Other Names 1

Doing Business AsCvs Pharnacy # 05616

Other Identifiers 2

Medicaid1356619415MN
Other2431144MN · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
337 services335 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
185 services185 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
146 services146 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
21 services21 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories CVS Pharmacy #05616 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05616

DMEPOS supplier · Detroit Lakes, MNOperated by Grand St Paul CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #05616 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20330183
Medicare Participant SinceJanuary 1, 2023
Supplier Location329 Frazee St EDetroit Lakes, MN 56501
Phone(218) 847-1484
Supplier Specialties
Pharmacy

Medicare Product Categories

Infusion Drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLIN HARRIS PHARMD
Pharmacist
329 FRAZEE ST E
DETROIT LAKES, MN 56501
Becker County (218) 847-1484
JENNIFER WORKMAN
Pharmacist
329 FRAZEE ST E
DETROIT LAKES, MN 56501
Becker County (218) 847-1484
JOANN K DOBIS RPH
Pharmacist
329 FRAZEE ST E
DETROIT LAKES, MN 56501
Becker County (218) 847-1484
ALEX HAUKE PHARMD
Pharmacist
329 FRAZEE ST E
DETROIT LAKES, MN 56501
Becker County (218) 847-1484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand St Paul CVS LLC's NPI number?

The NPI number for Grand St Paul CVS LLC is 1356619415. It was assigned to this organization in the NPPES registry on December 5, 2011. The provider is doing business as CVS Pharnacy # 05616.

Where is Grand St Paul CVS LLC located?

Grand St Paul CVS LLC is located at 329 Frazee St E, Detroit Lakes, MN 56501. The listed phone number is (218) 847-1484.

What is Grand St Paul CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Grand St Paul CVS LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #05616 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Grand St Paul CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Grand St Paul CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand St Paul CVS LLC was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.